Individual
ROBERT CORY PROFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
607 S NEW BALLAS RD STE 2300, SAINT LOUIS, MO 63141-8234
(314) 931-5990
Mailing address
355 PEFFER LN, FENTON, MO 63026-2824
(314) 607-1800
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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